Individual
MOLLY ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 BALTIMORE BLVD STE 403, WESTMINSTER, MD 21157-6146
(301) 345-1022
Mailing address
7474 GREENWAY CENTER DR STE 703, GREENBELT, MD 20770-3504
(301) 345-1022
(301) 560-5558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC17717
MD
101YP2500X
Professional Counselor
Primary
LGP13419
MD
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-21-180329
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/27/2021
Last updated
04/14/2026
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